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Therapeutic Interactive Voice Response enhanced CBT gains in chronic pain

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M R Naylor

Dr M R Naylor, University of Vermont College of Medicine, Burlington, VT, USA;


In patients with chronic pain who have completed a pain coping skills programme, does Therapeutic Interactive Voice Response (TIVR) enhance maintenance of treatment gains?



randomised controlled trial.


unclear allocation concealment.



Follow-up period:

8 months.


university hospital in Vermont, USA.


55 patients ⩾18 years of age (mean age 46 y, 84% women) who had chronic musculoskeletal pain for ⩾6 months with severity scores ⩾4 out of 10 and had completed 11 weeks of group cognitive–behavioural therapy (CBT) for pain management. Exclusion criteria included cancer-related pain, awaiting surgery, mental illness, and cognitive or hearing impairment.


TIVR for 4 months plus usual care …

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  • Source of funding: National Institute of Drug Addiction; National Institute of Arthritis, Musculoskeletal, and Skin Diseases; National Institute on Alcohol Abuse and Alcoholism.